APL&D

APL&D

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About APL&D

APL&D has 8 years experience.


Latest Activity

  1. Up the Pit or stop it?

    An update: So I spoke to the staff who took care of the patient after me. They kept stopping and starting the Pit on her because she kept having recurrent lates. Finally it was decided that the Pit would be stopped for two hours and restarted at the ...
  2. Up the Pit or stop it?

    Thanks so much. To clarify, I think min. variability was just due to sleep cycle. Def. agree with you on limited EFM for low-risk patients.
  3. Up the Pit or stop it?

    So, just started working with a new doc who is really aggressive with his Pit. I had a patient the other day: prime, post-dates induction. Had a round of cervidil and was started on Pit when I got her. The Pit was at 8, she was 3-4 cm, 50%, high. Con...
  4. What to do over the summer?

    Some hospitals offer a nurse-extern program for student nurses before their last year of nursing school. I did that myself. For twelve weeks in the summer you shadow a nurse in the specialty of your choice. It was a full-time summer job, and we got p...
  5. Do you have an OB in the hospital 24/7?

    I am sure there are still backwards hospitals out there in the country, but I think it is going towards having an in-house OB 24/7. I used to work in a small community hospital a couple of years ago, and last year they started requiring an OB present...
  6. Transition from Tele to L&D?

    I also changed from tele to L&D! I love it! It is very different. You will find it challenging in the beginning. I would suggest to start reading about pregnancy, labor and delivery, etc. I would approach the manager, as dianah suggested, and ask...
  7. BREASTFEEDING

    The advice I give everyone that is considering becoming a nurse is to go to an RN program, preferably to a 4-year college, where you can graduate with a BSN. Looking back, I wish I had done that. I am actually kicking myself for not having done that....
  8. I need confidence....

    I have to agree with the other posts. It takes time. There is no quick and easy way around it. Just have to work and wait. If your co-workers have faith and confidence in you, you should have faith as well. I am sure if you were doing poorly, they wo...
  9. Mother/Baby Brain Sheets

    JustBreathe, congrats on your new job. You are going to love it! I just wanted to tell you that a lot of places use report sheets/cardex that have all the important info a nurse should know. And it is a nurse's responsibility at the change of every s...
  10. Cardiac RN wants to become a ob/gyn RN.

    Start applying to various positions that are out there. I was a cardiac nurse as well first, but I switched to maternal child health. I think you have a lot of valuable experience under your belt. Give yourself some credit! While you are applying, yo...
  11. How To Become A Labor and Delivery Nurse?

    If I had to do it all over again, I would have picked a four-year college, where you can receive your Bachelor's degree (BSN). That way you will have better chances to land a job you want. A lot of the hospitals will give preference to BSN trained nu...
  12. Now what?

    Congrats! This is great! I did med-surg for a while before transferring into NICU. It is a huge difference. You will need to do a lot of reading and studying. I thought it was like being in school again. But I believe that, if that is where your hear...
  13. I am sorry about this. They always come up with stupid rules the nurses should follow so that the hospitals can get more money. How about asking doctors and nurses first. People making such rules apparently never did any bedside nursing. Similar thin...
  14. Pay Close Attention!

    NAS - get familiar with the scoring, meds you are giving, your hospital policies on when to notify a provider. Feeders/grower - make sure they are gaining weight, maintaining temp, monitor for feeding intolerance, measure their abdominal girth, inspe...
  15. Overnight New L&D nurse

    I don't know what your family situation is, but just try to sleep during the day, get dark curtains/blinds, loud fans for white noise, exercise, eat healthy foods that give you energy, and I do not mean coffee. And hopefully you'll be able to transfe...